Pain agnosia and self-injury in the syndrome of reversible somatotropin deficiency (psychosocial dwarfism)

Money, John; Wolff, Georg; Annecillo, Charles

doi:10.1007/bf01537566

Cited by 32 publications

(11 citation statements)

References 15 publications

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“…The nature and range of the developmental dis¬ turbances found in eating, sleeping or elimination in eight of the 19 children included in the index group are sim¬ ilar to those disturbances described in published reports on failure to thrive.27-9 Similarly, the forms of selfharming behavior observed in two in¬ dex children match the descriptions of cases published in the literature. 12 These data on eating difficulties among the index children concur with those data published by Apley et al17 on 16 English children with the diag¬ nosis of dwarfism without apparent physical cause. These children had a history of feeding difficulties char¬ acterized by their preference for skimpy meals; their diets were often described as highly restricted or as having little variety.…”

Section: Commentsupporting

confidence: 80%

“…12 Despite a relatively large body of literature on the failure-to-thrive child, much information is still needed on the child's behavior. One specific reason for this need is that previous investigations have had at least three serious méthodologie prob¬ lems that are readily identifiable, in¬ cluding the following: (1) a lack of control or contrast groups; (2) a restrictive use of indirect (ie, medical records) or limited (ie, one or two in¬ terviews) sources as the only means of information; and (3) a lack of speci¬ ficity in the definitions of the behav¬ iors under study.…”

mentioning

confidence: 99%

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Behavioral Disturbances Among Failure-to-Thrive Children

Pollitt¹,

Eichler²

1976

Arch Pediatr Adolesc Med

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\s=b\ The eating, sleeping, elimination, autoerotic and self-harming behavior of 19 preschool failure-to-thrive children was studied. Their behavior was compared to a group of 19 children growing normally for their chronological age. Information was obtained by repeated home visits by public health nurses. The growth-retarded children had more feeding difficulties as infants, had skimpier, less regular meals, and had poorer response to food when rated on a five-point scale. Their daily caloric intake was also lower.There were no substantial differences between groups for sleeping, elimination, autoerotic, and self-harming behaviors when each area was separately analyzed.However, when all the disturbances were summed, there was clear evidence that the failure-to-thrive children had a noticeably greater number of abnormalities than the control group. (Am J Dis Child 130:24-29, 1976) Growth retardation with no demon¬ strable organic basis has been given different labels by the research¬ ers who have studied this condition, such as failure to thrive,1 deprivation dwarfism,2 and reversible somatotro-

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Section: Commentsupporting

confidence: 80%

mentioning

confidence: 99%

Behavioral Disturbances Among Failure-to-Thrive Children

Pollitt¹,

Eichler²

1976

Arch Pediatr Adolesc Med

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“…There is speculation that intentional urination and smearing are responses to recent severe maltreatment (Felman & Nikitas, 1983). One study of children in care noted a relationship between self-injury and excessive eating (Ayoob et al, 1994), while studies of children with HSS described co-morbidity with self-injury and pain agnosia (Green et al, 1984;Money et al, 1972;Silver & Finkelstein, 1967) The present study found that the pica-type cluster is closely aligned to self-injurious behaviors, and that excessive eating was moderately correlated with self-injury. However, pain agnosia (measured by the ACC abnormal pain response scale) correlated moderately with girls' food maintenance scores, but not with boys' food maintenance scores, or pica-type scores for either gender.…”

Section: Discussionmentioning

confidence: 60%

“…However, there is also evidence that some children fail to spontaneously recover in care (de Kerdanet, Seveno, & Lecornu, 1993). Money (1972) referred to children placed in foster care, where ". .…”

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confidence: 99%

Patterns of Aberrant Eating Among Pre-adolescent Children in Foster Care

Tarren‐Sweeney

2006

J Abnorm Child Psychol

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The paper reports epidemiological and phenomenological investigations of aberrant eating among 347 pre-adolescent children in court-ordered foster and kinship care, in New South Wales, Australia. A quarter of children displayed clinically significant aberrant eating problems, with no evidence of gender or age effects. Two distinct patterns were identified. The first is a pattern of excessive eating and food acquisition and maintenance behaviors without concurrent obesity (termed Food maintenance syndrome), resembling the behavioral correlates of Hyperphagic Short Stature (Psychosocial Dwarfism). Various data suggest this pattern is primarily triggered by acute stress, including maltreatment in care, against a background of complex psychopathology and developmental disabilities. The second is a cluster of pica-type eating behaviors that correlates with self-injurious behavior, and is closely associated with developmental disabilities. The paper includes recommendations for clinicians working with pre-adolescent children in care.

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“…wide variety of stressful stimuli, both physical and psychological" (3). It has been proven in Deprivational dwarfism (5) or Psychosocial dwarfism (12,14,15) that slow growth rhythm parallels adverse family and social circumstances along with HGH secretion. In a more favourable environment the syndrome is reversible.…”

Section: Discussionmentioning

confidence: 99%